Mooncalf, LLC

NPI #1942823034 in Mission, Kansas

Provider Information

NPI Number: 1942823034
Entity Type: Organization
Organization Name: Mooncalf, LLC
Primary Specialty: Counselor - Mental Health
Enumeration Date: May 22, 2020
Last Updated: May 22, 2020

Practice Location

Address: 6029 BROADMOOR ST UNIT 234
City: Mission
State: Kansas
ZIP Code: 66201-2475
Phone: (515) 758-0358

Authorized Official

Name: CASSANDRA WALKER, LCPC
Title: CLINICAL DIRECTOR
Phone: (515) 758-0358

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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